MOUNTAIN LAKE WELLNESS LLC
NPI 1700603008
Nurse Practitioner in Oakland, MD

Q: What is Mountain Lake Wellness LLC's NPI number?

The NPI number for Mountain Lake Wellness LLC is 1700603008. It was assigned to this organization in the NPPES registry on September 26, 2024.

Q: What is Mountain Lake Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 26, 2024

257 OAKLAND DR STE 103, OAKLAND, MD 21550(240) 284-5696(240) 284-5697 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mountain Lake Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN LAKE WELLNESS LLC (NPI 1700603008) is a healthcare organization registered as a nurse practitioner in Oakland, Maryland and active in the NPI registry since September 2024. The organization lists James Lukas, Owner, as its authorized official.

NPPES Registry Identity

NPI1700603008

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMOUNTAIN LAKE WELLNESS LLC

Location Address257 OAKLAND DR STE 103Oakland, MD 21550-3228

Mailing Address257 Oakland Dr Ste 103Oakland, MD 21550-3228 · (240) 284-5696 · Fax (240) 284-5697

Phone(240) 284-5696

Fax(240) 284-5697

Organization SubpartNo

Authorized OfficialJames LukasOwner · (240) 284-5696

Enumeration DateSeptember 26, 2024

NPPES CertifiedSeptember 26, 2024

✔ NPI 1700603008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

257 OAKLAND DR STE 103, Oakland, MD 21550

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUKAS BEHAVIORAL HEALTH LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

257 OAKLAND DR STE 103
OAKLAND, MD 21550

Garrett County (301) 876-4889

LBH COMMUNITY CARE LLC

Community/Behavioral Health

257 OAKLAND DR STE 103
OAKLAND, MD 21550

Garrett County (301) 876-4889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Lake Wellness LLC's NPI number?

The NPI number for Mountain Lake Wellness LLC is 1700603008. It was assigned to this organization in the NPPES registry on September 26, 2024.

Where is Mountain Lake Wellness LLC located?

Mountain Lake Wellness LLC is located at 257 Oakland Dr Ste 103, Oakland, MD 21550. The listed phone number is (240) 284-5696.

What is Mountain Lake Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mountain Lake Wellness LLC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.